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I' r <br />~~ <br />Z 255 653 3R9 <br />US Postal Service ' <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />~~romati~nal Mail lSee reverse <br />Do r-' ••^^ ^' <br />Sen <br />sfe Kim Davis <br />30856 Rocky Road _ <br />pgs Greeley, CO 80631 _ `~ <br />Pottage $ ~]~ <br />Spedal Delivery Fee <br />Rasldded Delivery Fee <br />N <br />~ Retum RecrYp15how'un, <br />r ~ Whom 8 Dale Delireroi <br />I ~ TOTAL Postage 8 Fees I $ ,~ ~~ ~' <br />li <br /> item 4 if Restricted Delivery is desired. <br /> Cerlilied Fee ' L ~ ^ print your name and address on the reverse <br /> <br /> so that we can return the card to you. <br /> Spetlal Delivery Fee ^ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> <br />N Rrstdged Delivery Fae <br />1 <br />Article Adtlressed to: R <br />°; petum Receipt Showing to . <br />~ <br /> <br />Whom 8 Date Delivered ' <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 it Restricted Delivery is desired. <br />^ Print your name and address on [he reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. „ ~ ~ <br />,. Adicle Addressed to: R~ct t • <br />N~V r i ,~~ <br />Kim Davis <br />30856 Rocky Road <br />Greeley, CO 80631 <br />2. Micle Number (Copy !rom service IabeQ <br />z as <br />Pc cfrllm, 3811, July tees <br />I <br />I <br /> <br />A. Received by (Please Pnn! Clearly) B. Date of Delivery <br />/O '3la Q <br />.Signature `` <br />I ^ Agent <br />^ Addressee <br />0. Is tlelivery atld rent hom item 1? ^ Yes <br />If YES, enter livery a eas below: ^ No <br />3. Service Type <br />Cerhrretl Mail ^ E>tpress Mail <br />Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (cEr/tra Fee)~+ ^ Yes <br />Domestic Return Receiot 103595-99~M-r ]a9 <br />Postage $ r , ^ Complete items 1 2 and 3. Also complete <br />Z i~55 653 379 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Dt ~ _.:^-~~ re=il ].qee reverse <br />S <br />Steven K. Heinike <br />s 13771 Weld County Rd. 64 + <br />F Greeley, CO 80631 <br />y <br />m TOTAL Pastege s Fees $ ~ GJ Ci <br />~ PoslmaM or Dare O <br />0 Q <br />rn ~CI - ~ 0 ~ ~V~d <br />a <br />Received Dy (Pleasefrr(ir Cleady) ~ B. Data of Delivery <br />Agent <br />Addre <br />crass dinerent morn ~ t? O ves <br />delivery address De ~ ~ No <br />N OY 1 1999 <br />Steven K. Heinike <br />13771 Weld County Rd. 64 <br />Greeley, CO 80631 3. service Type <br />~Ceddietl Mail ^ Enpress Mail <br />^ Registered ^ Return Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (EA]ra Fee) ^ Yes <br />2. Article Number (Copy ham service labe~ ` v <br />z ~~~ (rS3 .3~~`l ~~' ~ d <br />PS Form 3511, July 1999 Domestic Retum Receipt r0~595~99-M~r]99 ` <br />